ClinicalTrials.gg
RecruitingNCT07386730OAD1Updated Sep 9, 2026

A Study of Psychedelics in Healthy Older Adults With Low Well-being

A Phase 1 interventional study of Psilocybin (drug) and Dextromethorphan (DXM) in Anhedonia in Healthy Volunteers and Older Adults (50-90 Years), sponsored by Jennifer Mitchell. Recruiting at 1 site in United States. Open to participants aged 50 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Jennifer Mitchell · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 59 studies in Neuroinflammatory Diseases with a site in United States — 21 open to participants now, 26 under way, none of them phase 3. Neuroinflammatory Diseases · United States.

Planned enrollment
5th of 38
80 · median 30
Started
2026
with 11 others
Phase 1
11 of 59
4 open now
Primary completion
2030-02
later than 22 of 25 live
Registered
51st of 59
by date

Among the 59 studies in Neuroinflammatory Diseases with a site in United States, this one is the 5th largest by planned enrollment of the 38 interventional ones that give a count, is one of 12 that started in 2026, is one of 11 in phase 1, reaches primary completion later than 22 of the 25 other live ones, and was the 51st registered.

Neuroinflammatory Diseases

180 studies on the registry are indexed under Neuroinflammatory Diseases; 80 are open to participants now.

Browse Neuroinflammatory Diseases studies →

Open to participants now

21 of the 59 studies in Neuroinflammatory Diseases with a site in United States are open now. Recruiting first, the newest first:

15 more — sign in →

All 21 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 53 Neuroinflammatory Diseases studies recruiting now, 16 (30%) set no upper age limit and 24 (45%) stop at 75 or younger; 11 take children under 18; 17 take healthy volunteers.

This study: 50 Years to 85 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 59 studies in Neuroinflammatory Diseases with a site in United States, or all of them as a file.
02

Study summary

This study is being conducted to understand changes in brain activity following administration of two different drugs (Psilocybin and Dextromethorphan) in older adults with low well-being.

The main questions it aims to answer are, does psilocybin:

  1. Acutely increase complexity of EEG activity in older adults with low well-being, as modulated by the presence of biomarkers of Alzheimer's disease (AD) pathology.
  2. Longitudinally decrease plasma markers of neuroinflammation, as modulated by the presence of biomarkers of AD pathology.
  3. Explore longitudinal changes in autonomic physiology via wearable recording devices as well as longitudinal structural and functional brain changes measured in the MRI

Participants will be in the study for up to 3 months, which will include 3 to 4 in person visits and 3 to 4 remote visits. Most visits will be between 1 to 3 hours, but the dosing visit will last a minimum of 8 hours and could be as long as 12 hours. During the dosing visit, all participants will receive a single dose of the study drugs and dosages listed below.

Researchers will compare participants who receive the following drug options:

  • A low-to-moderate dose of Psilocybin (5-10 mg)
  • A moderate-to-high dose of Psilocybin (25-30 mg)
  • A low-to-moderate dose of Dextromethorphan (30-60 mg)
  • A moderate-to-high dose of Dextromethorphan (80-90 mg)
03

Conditions studied

  • Anhedonia in Healthy Volunteers
  • Older Adults (50-90 Years)

Keywords

  • Psilocybin
  • Dextromethorphan
  • older adults
  • well-being
  • EEG
  • MRI
  • neuroinflammation
  • Alzheimer's disease plasma markers
  • wearables
04

Who can participate

Ages eligible
50 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

The eligibility criteria are deliberately incomplete to preserve the scientific integrity of the study.

Inclusion criteria

Inclusion Criteria:

  • Are between 50-85 years inclusive at time of consent signing
  • Have below-average well-being, defined by the World Health Organization Well-Being Index (WHO-5)
  • Have no cognitive impairments, indicated by a (MMSE) score >24
  • Have an identified willing contact person with at least weekly contact with the participant to be able to provide meaningful information about the participant's daily function and able to pick up the study participant at the end of the Dosing Visit
  • Participants assigned female sex at birth must be non-lactating, and , defined as a period of over 12 months since the last menstrual period, or otherwise physically unable to become pregnant
  • Participants assigned male sex at birth must 1) refrain from sperm donation for 3 months after the Dosing Visit, and 2) if engaging in sexual activities that may result in pregnancy, must use a condom, plus their partner of must use a second, highly effective form of for 3 months after the Dosing Visit
  • Be proficient in English
  • Are able and willing to provide consent as assessed by comprehension questions in process
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Ability to swallow oral medications (capsules)

Exclusion criteria

Exclusion Criteria:

General:

  • Have a known allergic or severe reaction to Psilocybin, Dextromethorphan, or any of the non-active components of the IMP capsules
  • Insufficient ability to report on symptoms to make a valid assessment on any required instrument
  • Have a condition or presence of clinical feature which, in the opinion of the investigators might interfere with or prevent appropriate study participation or interfere with data interpretation

MRI Exclusions:

  • Any implanted object or device that poses a safety risk or could interfere with MRI scanning (e.g. aneurysm clips, cardiac pacemakers, defibrillators, neurostimulators, cochlear implants, spinal cord stimulators, insulin or infusion pumps, metallic prostheses or fragments, heart valves, vascular stents, or shunts. surgical staples, clips, or joint replacements, radiation seeds, medication patches containing metal, or any other metallic or electronic implants)
  • History of metallic injury to the eyes or body, or those with tattoos containing metallic ink, permanent makeup, or body piercings that cannot be removed.
  • Any condition that poses a safety risk or could interfere with MRI scanning (e.g. severe claustrophobia or motion disorders or breathing problems, etc)

Psychiatric:

•History of hallucinogen persisting perception disorder (HPPD) (as per criteria)

Cardiovascular:

  • cardiovascular conditions e.g., clinically significant abnormalities, in the last 6 months, history of hemorrhagic stroke, history of myocardial infarction within 1 year of signing form (ICF)
  • Baseline (heart rate \< 60 bpm or > 90 bpm at screening or pre-dose
  • Baseline hypertension (≥140 SBP or ≥90 DBP), after repeated measurements
  • > 450msec on 12-lead EKG. Note: If QT-prolonging medications are started or increased in dose after enrollment and prior to dosing visit, a repeat EKG must be done >12-hours after this change to assure continued safe enrollment in the trial
  • Clinically significant arrhythmia (e.g., uncontrolled atrial fibrillation, or untreated supraventricular tachycardia)
  • Any current condition where physical activity is associated with palpitations, anginal pain or syncope

General health:

  • Major systemic disorders, including seizure, insulin dependent diabetes mellitus, recent history (last 12 months) of advanced cancer or its treatment (radiation therapy or chemotherapy), had major surgery within 6 months from screening or plans to have surgery while enrolled in the study
  • Inadequate hepatic function as determined by total or alkaline phosphatase >3x institutional ; or (AST) or alanine transaminase (ALT) >3x institutional upper limit of normal. However, participants with Gilbert syndrome are allowed to enroll
  • Inadequate renal function as determined by estimated (eGFR) \< 60 mL/min/1.73 m2 (based on the MDRD equation)
  • Participant is at increased risk of falls
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    A low-to-moderate dose of Psilocybin (5-10 mg)

    A single low-to-moderate dose of Psilocybin (5-10 mg)

    Drug: Psilocybin (drug)

  • Experimental
    A moderate-to-high dose of Psilocybin (25-30 mg)

    A single moderate-to-high dose of Psilocybin (25-30 mg)

    Drug: Psilocybin (drug)

  • Experimental
    A low-to-moderate dose of Dextromethorphan (30-60 mg)

    A single low-to-moderate dose of Dextromethorphan (30-60 mg)

    Drug: Dextromethorphan (DXM)

  • Experimental
    A moderate-to-high dose of Dextromethorphan (80-90 mg)

    A single moderate-to-high dose of Dextromethorphan (80-90 mg)

    Drug: Dextromethorphan (DXM)

Interventions

  • Participants will receive either Psilocybin or Dextromethorphan in this clinical trial

  • Participants will receive either Psilocybin or Dextromethorphan in this clinical trial

06

What researchers measure

Primary outcomes

  1. Acute changes in EEG-based ESBA

    Compare acute changes in EEG-based Lempel Ziv complexity (pre- to post-dose, arbitrary unit) between the four study arms, with the presence of biomarkers of AD pathology used in the statistical analyses as a moderator. Lempel-Ziv complexity in EEG is a non-linear analysis tool that quantifies the amount of entropy of spontaneous brain activity (ESBA).

    Time frame: Pre- to post-dose two hours later

Secondary outcomes

  1. Changes in TNF-alpha

    Compare changes in a biomarkers of neuroinflammation (TNF-alpha) psilocybin across the four study arms, with the presence of biomarkers of AD pathology used in the statistical analyses as a moderator. Reference Range 0.56-1.40 pg/mL

    Time frame: Screening to three weeks post dosing

07

Study locations

1 of 1 sites recruiting
  • University of California San Francisco, Sandler Neuroscience Building
    San Francisco, California 94158, United States
    Recruiting
    • Gabriella Mace · Contactagingandpsychedelics@ucsf.edu · 415-707-5399
    • Lorenzo Pasquini, PhD · Sub investigator
    • Jennifer Mitchell, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Feb 2030, 44 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 20, 2026
First posted
Feb 4, 2026
StartActual
Jun 1, 2026
Primary completionEst.
Feb 2030
CompletionEst.
Feb 2030
Last update
Sep 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07386730
Lead sponsor
Jennifer Mitchell
Responsible party
Jennifer Mitchell (Professor, University of California, San Francisco) — Sponsor-investigator
First posted
Feb 4, 2026
Start date
Jun 1, 2026
Primary completion
Feb 2030 (estimated)
Completion
Feb 2030 (estimated)
Last update
Sep 9, 2026

Study contacts

Gabriella Mace
Contact
agingandpsychedelics@ucsf.edu
415-707-5399
Lorenzo Pasquini, PhD
principal investigator · University of California, San Francisco
Jennifer Mitchell, PhD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Psilocybin · Dextromethorphan

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